Individual provider · Type 1 NPI

Carol Runyon, CRNA

Nurse Practitioner · Lincoln, IL

NPI number 1609832005 Active

Practice location

28 Augusta Dr
Lincoln, IL 62656-9101

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1609832005

Carol Runyon, CRNA's National Provider Identifier is 1609832005, issued on Apr 25, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lincoln, IL. The record was last updated on Jul 13, 2026.